8151 Posted August 7, 2006 Share Posted August 7, 2006 I was going to ask again if she was hot, then I observed she is 5'7" 200lbs. Well we all need lovin. Link to comment Share on other sites More sharing options...
Mark3743 Posted August 7, 2006 Share Posted August 7, 2006 Possible CVA/TIA, I would realy like to know vitals esp B/P, and this is an obvious transport with O2 and an als intercept. Link to comment Share on other sites More sharing options...
brock8024 Posted August 8, 2006 Author Share Posted August 8, 2006 S/O: What is her LOC? A&O x 3 Quickly assess the ABC's and ensure her hemodynamic status is intact- resp 24 pulse 100, no breathing abnormalities. Obtain a set of baseline vital signs to include pulse ox and skin assessment along with tilt testing. 100 hr, 24 rr, pink warm, 94% RA, 150/84 Lung sounds, ABD assessment, and focused neuro assessment/HEENT exam. Clear bilat, soft non tender, weak grip on right. HEENT unremarkable but the blurred vision. 12 Cranial nerve exam and focused eye exam.- all normal but the left side of the face ROM and strength assessment of extremities. - moves all well but having trouble with right BGL? 110 Rule out carbon monoxide poisoning if possible. none that u can find. Obtain history of present illness and PMHX. CP two days ago and had the angiography this morning and was released. HX of HTN. SAMPLE & OPQRST -not feeling right, right side weakness, NKDA, HCTZ, CP two days ago, After angiography. Onset 20 mins before you get to the house. 4/10 head ache, does not really go anywhere. A: Based on the history and physical exam. - overweight female with head ache and right sided weakness. P: supplemental o2 cardiac monitor and 12 lead vascular access transport after detailed exam is finished E: ongoing assessments Link to comment Share on other sites More sharing options...
brock8024 Posted August 8, 2006 Author Share Posted August 8, 2006 Ok so you do your 12 lead nothing abnormal. O2 at 15 l/m via NRB. As you load her in to the ambulance she tells you that she remembers hearing the nurses talking in the cath lab. One said she hope that it was not to much and the other said naw she will be fine. She does not know what they where talking bout but was out of it from the valium they gave her to calm her down. Your partner looks at you funny and you decide to take her code 3 to the local ER. about 2 blocks from her house she stops breathing and becomes unresponsive!!!!! what you want to know now. And what do you think is going on. I have given you what you need to know. How is this treated and will this change your mind on which ER to go too?? Link to comment Share on other sites More sharing options...
brock8024 Posted August 8, 2006 Author Share Posted August 8, 2006 And sorry it takes me a while sometimes to post. I do this on my free time at work so, please forgive me. Link to comment Share on other sites More sharing options...
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